PHT Public Trust Board Papers March 2011.pdf - Plymouth Hospitals

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Item 6 Patient Pledge March 2011 Declaration Working outstanding Compliance To inform you about the healthcare services available to you and offer easily accessible, reliable and relevant information To provide you with the information you need to influence and scrutinise the planning and delivery of NHS services and to work in partnership with you, your family, carers and representatives To ensure you are treated with courtesy and you receive appropriate support when making a complaint When mistakes happen, to acknowledge them, apologise, explain what went wrong and put things right quickly and effectively To ensure that the organisation learns lessons from complaints and claims and uses these to improve NHS services Patient engagement and consultation undertaken to promise No. 2 Patient engagement and consultation undertaken to promise No. 2 Meet all mandatory information requirements Patient engagement and consultation undertaken to promise No. 1 New policy and procedures to deal with complaints Patient engagement and consultation undertaken to promise No. 1, 3 and 4 New policy and procedures to deal with complaints Patient engagement and consultation undertaken to promise No. 1, 3 and 4 New policy and procedures to deal with complaints As above Full Implementation of the Patient Experience Strategy Review of patient information planned for 2011-12 As above Full Implementation of the Patient Experience Strategy As above Full Implementation of the Patient Experience Strategy New complaint’s policy, procedures and targets to be further embedded As above Full Implementation of the Patient Experience Strategy New complaint’s policy, procedures and targets to be further embedded As above Full Implementation of the Patient Experience Strategy New complaint’s policy, procedures and targets to be further embedded Partially compliant Partially compliant Partially compliant Partially compliant Partially compliant 5
Item 7 Plymouth Hospitals NHS Trust SUMMARY REPORT Trust Board (Part 1) 25 March 2011 Subject Quality Account 2010/2011 Prepared by Approved by Presented by Board Secretary Medical Director Medical Director Purpose To update the Board on progress with the completion of the Quality Account and to seek the Board’s views on the draft document. Trust Objectives Decision Approval Information Other Safety Quality Efficiency Workforce Health Governance • Executive Summary The Trust is required to publish an annual Quality Account and to agree priorities for inclusion in the Quality Account 2010/2011. In February, the Board approved the priorities for inclusion in the document. The purpose of a Quality Account is threefold: firstly, as an important document that will enable the public to hold NHS Trusts to account for the quality of the NHS healthcare services they provide; secondly, to enable Trust Boards to focus on quality improvement as a core function; and finally, to assist patients and their carers to make fully informed choices about their healthcare. The production of this document is an iterative process and the Board is presented with a draft for review. Key Recommendations 1. The Board is asked to note progress on the draft Quality Account, to review it and to comment. • Assurance Framework Links to the Quality objectives in the Assurance Framework. Next Steps Feedback on the draft Quality Account is required from external stakeholders (Plymouth Overview & Scrutiny Committee, Cornwall Overview & Scrutiny Committee, Local Involvement Network and NHS Plymouth) in a consultation process and the final Quality Account will come to the April Trust Board for approval. Corporate Impact Assessment CQC Regulations N/A Financial Implications To be determined as part of routine performance review. Legal Implications The Trust has a statutory duty to publish a Quality Account. Equality & Diversity To be considered in the discharge of the priorities identified. 1
Page 1 and 2: Trust Board Standing Items Friday 2
Page 3 and 4: Item 2 any long term harm. The Chai
Page 5 and 6: Item 2 Plymouth Hospitals NHS Trust
Page 7 and 8: Item 2 studies described in the rep
Page 9 and 10: Item 2 Performance against Monitor
Page 11 and 12: Item 2 30/11 Chairman’s report fr
Page 13 and 14: Item 5 SUMMARY REPORT Trust Board M
Page 15 and 16: A second “Continuing Medical Educ
Page 17 and 18: Item 6 DETAILED REPORT Trust Board
Page 19: Item 6 NHS Constitution Patient Ple
Page 24 and 25: Item 7 1.2 Statement by Chief Execu
Page 26 and 27: Item 7 The five priorities were dev
Page 28 and 29: Item 7 How will we do it? The Enhan
Page 30 and 31: Item 7 Nursing dashboards are curre
Page 32 and 33: Item 7 Severe Trauma ( TARN) Psycho
Page 34 and 35: Item 7 Criteria Measured 2009/10 %
Page 36 and 37: Item 7 3.2 Performance against key
Page 38 and 39: Item 7 Target Performance Performan
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Page 42 and 43: Item 7 Cancelled operations by the
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Page 46 and 47: Item 7 3.8 Our Environment Providin
Page 48 and 49: Item 8 SUMMARY REPORT Trust Board (
Page 50 and 51: Item 8 Dementia costs the UK econom
Page 52 and 53: Item 8 Standard 4: The hospital and
Page 54 and 55: Item 9 DETAILED REPORT Trust Board
Page 56 and 57: Item 10 SUMMARY REPORT Trust Board
Page 58 and 59: Item 10 Safety 9. Infection Control
Page 60 and 61: Item 10 15. Going Further on Cancer
Page 62 and 63: Item 10 The Trust’s 12 month aver
Page 64 and 65: Item 11 SUMMARY REPORT Trust Board
Page 66 and 67: Item 11 The Director of Financial S
Page 68 and 69: Item 12 Key Recommendations 1. Cont
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Item 12 The OD programme sets out t
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Item 12 • 40% of staff feel that
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Item 13 CQC Regulations Financial I
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Item 13 The Statement is not meant
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Information on staffing of the R&D
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Organisation study capabilities Typ
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Specialty Group Membership (Local a
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R&D SOP Ref Number SOP Title Versio
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Item 14 SUMMARY REPORT Trust Board
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Performance Databook February 2011
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SAFETY OBJECTIVE PERFORMANCE REPORT
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A&E BREACH REASONS 2010/11 Apr May
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AMBULANCE HANDOVER TIMES Maximum of
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DELAYED TRANSFERS OF CARE Current M
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# MRSA SCREENING Current Month: Feb
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7 Stroke Indicators Current Month:
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QUALITY OBJECTIVE PERFORMANCE REPOR
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Consultant Outpatients Waiting & Re
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Current Month : February 2011 Inpat
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11 Referral To Treatment (RTT) Time
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RAPID ACCESS CHEST PAIN SERVICE Cur
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DIAGNOSTIC NEUROPHYSIOLOGY WAITING
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# Inpatient & Day Case Waiting List
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# CANCELLED OPERATIONS - Number can
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9 Choose And Book Slot unavailabili
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CANCER TARGETS : 31 Day "Decision T
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GFOCW TARGETS : 62 Days from Screen
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GFOCW TARGETS : 2 Week Wait for Bre
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Reperfusion Waiting Times Current M
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PLYMOUTH HOSPITALS NHS TRUST Trust
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8 Access to GUM clinics - Offered t
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INFANT HEALTH & INEQUALITIES # SMOK
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PARTICIPATION IN HEART DISEASE AUDI
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WORKFORCE OBJECTIVE PERFORMANCE REP
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PHT Public Trust Board Papers March 2011.pdf - Plymouth Hospitals

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